OUR DOCTOR’S JOURNALS
Here you can read different journals that our doctors have been part of or published themselves.
They will be related to things such as cardiac disease, treatment, surgery, and device usage.
ROBERT GREENFIELD, MD
HDL, on the other hand, is seen as the body’s superhero because it clears up the bad cholesterol. Dr. Greenfield compares it to garbage disposal: “HDL is the sanitation truck that picks up the garbage, and the garbage is the LDL.” To extend the metaphor further, HDL is more like a dedicated recycler who picks up discarded junk and transports it to someone who can turn it into treasure: “It can pick up cholesterol from the blood and blood vessels and carry it to the liver so the liver can use that cholesterol to make bile, vitamin D, and other necessary products that we need to live,” Dr. Greenfield says. “It also carries cholesterol to the gonads and adrenal glands so they can synthesize hormones. And if that wasn’t enough, HDL may help with our immunity and help us to fight infections.”
“These things have been shown not to be true,” said Dr. Robert Greenfield, a cardiologist, lipidologist, and medical director of noninvasive cardiology and cardiac rehabilitation at MemorialCare Heart & Vascular Institute at Orange Coast Medical Center in Fountain Valley, California. “Statins are safe.”
That being said, it’s not uncommon to have no warning signs before a heart attack, Dr. Patel says. “Some people may be fortunate enough to have warning signs like dizziness, but not everyone does,” he says. That’s why, “if you have a family history of heart disease, you should get checked out,” Dr. Patel says
There are non‐randomized data about the benefits of Impella use in the setting of cardiogenic shock. However, limited data exist to help guide clinicians about whether in the context of the intervention the device should be implanted early or late; how long the device should stay in; and how the mode of explant should be.
STORIES AND DISCUSSION OF MEDICINE
From Dr Nguyen
YOU SHOULD BE DOING THESE THREE TYPES OF CARDIO
The oxidative pathway is highly adaptive, says Sanjiv Patel, M.D., cardiologist at MemorialCare Heart & Vascular Institute at Orange Coast Medical Center in Fountain Valley, CA. That means the more you use it, the better it works. Anyone who's ever done a couch-to-5K knows this phenomenon to be true. "Oxidative pathway (or aerobic) training can have excellent benefits to the heart and fat loss," he says. (See: You Don't Need to Do Cardio to Lose Weight-But There's a Catch)